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Individual

DR. THOMAS WILLIAM WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5121 S COTTONWOOD ST, SUITE 400, MURRAY, UT 84107-5701
(801) 507-3462
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 507-3462

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19071
NE
2086S0102X
Surgical Critical Care Physician
Primary
175403-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47070174412
NE
Enumeration date
09/13/2005
Last updated
01/12/2015
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